CPT Code 97110 is used to bill for therapeutic exercise services provided to improve a patient’s strength, endurance, flexibility, or range of motion. This code is commonly used in physical therapy settings.
Each unit of 97110 represents 15 minutes of one-on-one time spent with the patient performing prescribed exercises. These exercises are part of a treatment plan designed to address specific impairments.
What Is CPT Code 97110?
97110 covers individualized therapeutic exercises that are goal-directed and medically necessary. The activities must be documented and must show progress toward the patient’s rehabilitation goals.
Examples include:
Stretching to regain joint mobility
The therapist must remain in constant attendance with the patient during the exercises.
Documentation and Coding
Each 15-minute segment of exercise counts as one billable unit. If a session lasts 45 minutes, three units may be billed. It’s important to track time accurately and describe the specific exercises performed.
Documentation should include:
Time spent
Type of exercises performed
Goals of treatment
Patient response to intervention
Reimbursement and Usage
CPT 97110 typically reimburses between $25 and $45 per unit, depending on the payer. It is a foundational code in outpatient rehab and physical therapy billing.
Some payers may require a treatment plan or prior authorization. Always verify payer requirements to ensure full reimbursement.
FAQ: CPT Code 97110
What does CPT 97110 cover?
It covers therapeutic exercises to improve physical function, billed in 15-minute units.
Can assistants perform 97110?
Yes, under supervision and depending on state laws and payer rules.
